Individual
KELSEY M ALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1535 KILLEARN CENTER BLVD, A-5, TALLAHASSEE, FL 32309
(850) 566-8496
Mailing address
419 WILLIAMS ST APT B, TALLAHASSEE, FL 32303-6382
(850) 566-8496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48963
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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